Hello Doctor I am 40 yr Male. I have RHD AR/MR but asymptomatic, recently, within few years i developed episodic, about once in a month, muscular pains quite generalised but more severe at the left shoulder trapezium and ?rhomboid muscles pain. I am much sure its not physical pain only. My Dr gave me Escitalopram 10mg , But i am afraid to use it because of RHD. Please tell me about the side effects and suggestions. Shiv